CHA News Article

CMS Publishes Strategies to Reduce Non-Urgent Use of EDs

The Centers for Medicare & Medicaid Services (CMS) has published an informational bulletin outlining strategies that states can implement to reduce non-urgent and inappropriate use of emergency department (ED) services, while still delivering appropriate care to Medicaid beneficiaries. Experience and research suggest that broader strategies – such as expanding primary care access, “super-utilizer” programs, and targeting the needs of people with behavioral health and substance abuse issues – appear to have considerable promise for addressing unmet health needs as the underlying causes of high ED utilization. The bulletin also discusses relevant considerations when distinguishing between emergency and non-emergency use of ED services. For detailed information, the CMS bulletin is attached.